Free 50-297 Application for Exemption of Raw Cocoa and Green Coffee Held in Harris County - Texas

50-297 (Rev. 8-03/1) [11.33, Rule 9.415]

APPLICATION FOR EXEMPTION OF RAW COCOA AND GREEN COFFEE HELD IN HARRIS COUNTY
Appraisal district name:

Year

Phone (area code and number):

Address:

This application covers property you owned on January 1 of this year. You must file the completed application between January 1 and April 30 of this year. Be sure to attach any additional document(s) requested. If the chief appraiser grants the exemption, you do not have to apply annually. However, you must reapply if the chief appraiser requires you to do so. You must notify the chief appraiser in writing if and when your right to this exemption ends. Return the completed form to the address above.

Step 1: Owner's name and address

Owner's name:

Phone (area code and number):

Current mailing address:

City, State:

ZIP code + 4:

Name of person preparing this application:

Title:

Driver's License, Personal I.D. Certificate, or Social Security Number*:

Authorized agent's name (if different from above):

Phone (area code and number):

Mailing address:

City, State:

ZIP Code + 4:

Step 2: Describe the property

Appraisal district account number: _______________________________ Give the appraisal roll account number (if available) or attach tax bill or copy of appraisal or tax office correspondence concerning this account.

Location of inventory (street address):

City, State:

ZIP Code + 4:

Step 3: Answer these questions about your property Step 4: Sign and date application

1. Give total cost of raw cocoa held in Harris County on January 1, _____________ . 2. Give total cost of green coffee held in Harris County on January 1, ___________ .

$ ___________________ $ ___________________

I certify that the information provided on this form is true and correct to the best of my knowledge and belief. ______________________________________________________
Authorized signature

________________________________
Date

On behalf of __________________________________________________
Name of corporation/company

________________________________
Title

If you make a false statement on this application, you could be found guilty of a Class A misdemeanor or a state jail felony under Texas Penal Code Section 37.10.
* You are required to give us this information on this form, in order to perform tax related functions for this office. Section 11.43 of the Tax Code authorizes this office to request this information to determine tax compliance. The chief appraiser is required to keep the information confidential and not open to public inspection, except to appraisal office employees who appraise property and as authorized by Section 11.48(b), Tax Code.